Individual provider · Type 1 NPI
Miranda R. Meola, LCDC III
Substance Abuse Rehabilitation Facility · Jefferson, OH
Practice location
1484 State Route 46 N, Suite 7
Jefferson, OH 44047-8145
Fax (440) 624-4086
Mailing address
1527 W Prospect Rd
Ashtabula, OH 44004-6674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2 other providers at this address
About NPI 1104239466
Miranda R. Meola, LCDC III's National Provider Identifier is 1104239466, issued on Jun 4, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Jefferson, OH. The record was last updated on Jun 4, 2014.